MEMBERSHIP APPLICATION FORM (Print and Send)

Please enroll me/us into the Salisbury & Shaftesbury Car Club for the period up to 30th September 2017

Name/s _____________________________________

_____________________________________

Address _____________________________________

_______________________Postcode______

Phone:________________Mobile:__________________

Email ____________________________________

Signature _______________________Date_________

Full membership £15.00 _______

Joint membership for couple £20.00 _______

Additional family member at same address

And Junior member under 16 £5.00 _______

TOTAL _______

Please make cheques payable to “Salisbury & Shaftesbury Car Club Ltd”.

Send completed application form with cheque to :-

Judy Howles Membership Secretary, 125 Harnham Road, Salisbury, Wilts. SP2 8JT

Or you can renew by BACS transfer

Ref Membership

Bank of Scotland

Sort code 12 05 77

Account name Salisbury & Shaftesbury Car Club

Account number 00837142